hello dr Jossart,

I hope you are doing good!

I have a question for you.

My name is Chantale Im 30 years old. I weight 278 pds for 173 cm so my BMI is around 41. I have 130 pds to lose. I am waiting for a WLS and I have to choose between a VSG or a biliopancreatic derivation. But the problem is that I really don't know wich surgery I must have.

Do you think I can lose 130 lbs only with a VSG?

Can you help me please?

Thank you so much:blush:

Chantale Gagn?

The choic between a purely restrictive procedure(VSG) and a bypass procedure such as the Duodenal Switch or gastric bypass is difficult. The lower BMI group(roughly 35-50) can usually lose an adequate amount of weight with the VSG and therefore avoid an intestinal bypass. The reason to choose the DS over the VSG within this BMI group(35-50) is because your BMI is on the higher end(50); you have metabolic syndrome comorbidities that are more severe(Diabetes, highe cholesterol, high blood pressure) or you believe you have slower metabolism and really need malabsorption. A younger, healthier person with a BMI of 41 can usually do quite well with just a VSG